- Entity
- county:new-york-seneca-36099
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-york/seneca/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-county-plan-index
- Total Standard Medicare Advantage Plans
- 20
- PPO Plans
- 8
- HMO Plans
- 3
- HMO-POS Plans
- 7
- PFFS Plans
- 2
- Average Monthly Premium
- 48.81
- Average MOOP
- 8007.5
- Average Part D Deductible
- 544.62
- $0 Premium Plans
- 12
- Plans Without Part D Coverage
- 7
- Average CMS Star Rating
- 3.45
- $0 Premium Plan Share
- 60
- 5-Star Plan Share
- 0
- 4+ Star Plan Share
- 35
- 3-Star Plan Share
- 65
- Below 3-Star Plan Share
- 0
- Not-Rated Plan Share
- 0
- PPO Average Monthly Premium
- 31.35
- PPO Average MOOP
- 8712.5
- PPO Enrollment
- 940
- PPO $0 Premium Plans
- 5
- PPO Plans Without Part D Coverage
- 2
- HMO Average Monthly Premium
- 79.67
- HMO Average MOOP
- 8833.33
- HMO Enrollment
- 2208
- HMO $0 Premium Plans
- 1
- HMO Plans Without Part D Coverage
- 0
- HMO-POS Average Monthly Premium
- 69.47
- HMO-POS Average MOOP
- 7564.29
- HMO-POS Enrollment
- 260
- HMO-POS $0 Premium Plans
- 4
- HMO-POS Plans Without Part D Coverage
- 3
- PFFS Average Monthly Premium
- 0
- PFFS Average MOOP
- 5500
- PFFS Enrollment
- 0
- PFFS $0 Premium Plans
- 2
- PFFS Plans Without Part D Coverage
- 2
- Entity
- county:new-york-seneca-36099
- Digest
- 2026-county-ma-aggregate
- Population Scope
- Standard Medicare Advantage plans only; Special Needs Plans (SNPs) excluded
- Source URL
- https://www.medicareplans.com/medicare-advantage/new-york/seneca/
- Glossary Scope
- cms_landscape
- Fragment Scope
- semantic-digest
- Method
- https://webmem.com/protocol/serialization/html/
- fragment-new-york-seneca-36099-landscape-stats
- Plans Indexed
- 20
- Standard Medicare Advantage Plans
-
-
Aetna Medicare Eagle Giveback
H5521-323-0 -
Medicare Blue Choice Core
H3351-022-0 -
Medicare Blue Choice Freedom
H3351-007-0 -
Medicare Blue Choice Optimum
H3351-006-0 -
Medicare Blue Choice Prime
H3351-023-0 -
MVP Medicare Preferred Gold with Part D
H3305-015-0 -
MVP Medicare Preferred Gold without Part D
H3305-007-0 -
MVP Medicare WellSelect with Part D
H9615-021-0 -
Wellcare Advantage Enhanced
H2816-037-0 -
Wellcare Advantage Simple
H2816-038-0 -
Aetna Medicare Signature
H3312-097-0 -
Humana USAA Honor Giveback
H5970-016-0 -
HumanaChoice Giveback H5970-030
H5970-030-0 -
HumanaChoice H5970-029
H5970-029-0 -
Wellcare Assist Open
H2775-113-0 -
Wellcare Fidelis Assist
H5599-002-0 -
Wellcare Fidelis Patriot Simple
H5599-010-0 -
Wellcare Fidelis Simple
H5599-004-0 -
Wellcare Giveback Open
H2775-111-0 -
Wellcare Simple Open
H2775-106-0
-
Aetna Medicare Eagle Giveback
- Total Standard Medicare Advantage Enrollment
- 3408
2026 Medicare Advantage Plans in Seneca County, NY
Last update: .
For 2026, Seneca County, NY includes 20 Medicare Advantage plans. Enrollment across these plans totals approximately 3,408, with 12 $0 premium options and 35% rated 4 stars or higher.
This page and its statistics exclude Medicare Advantage Special Needs Plans (SNPs). Special Needs Plans in Seneca County, NY are summarized separately. Visit Medicare Options in Seneca County, NY to see more options.
Medicare Advantage PPO Plans
Preferred Provider Organization (PPO) plans allow members to choose care from both in-network and out-of-network providers. Out-of-network care usually costs more, but PPOs offer greater flexibility in how members access care.
- Total PPO Plans
- 8
- Average Monthly Premium
- $31.35/mo
- Total PPO Enrollment
- 940
- $0 Premium PPO Plans
- 5
- Average MOOP
- $8,713
- Top PPO by Enrollment
- HumanaChoice Giveback H5970-030 (PPO) — 296 enrollees
- PPO Plans Without Drug Coverage
- 2
| PPO Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Aetna Medicare Eagle Giveback | $0 | $9,250 | N/A | H5521-323-0 | |
| MVP Medicare WellSelect with Part D | $160 | $9,250 | $615 | H9615-021-0 | |
| Humana USAA Honor Giveback | $0 | $4,950 | N/A | H5970-016-0 | |
| HumanaChoice Giveback H5970-030 | $0 | $9,250 | $615 | H5970-030-0 | |
| HumanaChoice H5970-029 | $32 | $9,250 | $615 | H5970-029-0 | |
| Wellcare Assist Open | $59 | $9,250 | $530 | H2775-113-0 | |
| Wellcare Giveback Open | $0 | $9,250 | $615 | H2775-111-0 | |
| Wellcare Simple Open | $0 | $9,250 | $615 | H2775-106-0 |
What is the average monthly premium for PPO plans in Seneca?
PPO plans in Seneca cost $31.35 per month on average.
Which PPO plan has the highest enrollment in Seneca?
The most popular PPO plan in Seneca is HumanaChoice Giveback H5970-030 (PPO), with 296 enrollees.
How many PPO plans in Seneca do not include prescription drug coverage?
2 PPO plans in Seneca do not include prescription drug coverage.
Medicare Advantage HMO Plans
Health Maintenance Organization (HMO) plans generally require members to use in-network doctors, hospitals, and other providers, except in emergencies. Because of this structure, HMOs often have lower premiums and out-of-pocket costs than other plan types.
- Total HMO Plans 3
- Average Monthly Premium $79.67/mo
- Total HMO Enrollment 2,208
- $0 Premium HMO Plans 1
- Average MOOP $8,833
- Top HMO by Enrollment Medicare Blue Choice Core (HMO) — 1,737 enrollees
- HMO Plans Without Drug Coverage 0
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Medicare Blue Choice Core | $0 | $9,250 | $615 | H3351-022-0 | |
| Medicare Blue Choice Prime | $55 | $8,000 | $615 | H3351-023-0 | |
| Aetna Medicare Signature | $184 | $9,250 | $615 | H3312-097-0 |
What is the top HMO by enrollment in Seneca?
Medicare Blue Choice Core (HMO) is the top HMO in Seneca, with 1,737 enrollees.
What is the number of HMO plans without Part D coverage in Seneca?
0 HMO plans in Seneca do not include prescription drug coverage.
Medicare Advantage HMO-POS Plans
HMO-POS plans are structured like HMOs, requiring in-network care for the lowest costs, while allowing limited out-of-network access at higher cost. This provides added flexibility compared with standard HMO plans.
- Total HMO-POS Plans
- 7
- Average Monthly Premium
- $69.47/mo
- Total HMO-POS Enrollment
- 260
- $0 Premium HMO-POS Plans
- 4
- Average MOOP
- $7,564
- Top HMO-POS by Enrollment
- Wellcare Fidelis Simple (HMO-POS) — 89 enrollees
- HMO-POS Plans Without Drug Coverage
- 3
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Medicare Blue Choice Freedom | $0 | $4,500 | N/A | H3351-007-0 | |
| Medicare Blue Choice Optimum | $225 | $6,700 | $100 | H3351-006-0 | |
| MVP Medicare Preferred Gold with Part D | $229 | $6,800 | $300 | H3305-015-0 | |
| MVP Medicare Preferred Gold without Part D | $0 | $7,200 | N/A | H3305-007-0 | |
| Wellcare Fidelis Assist | $33 | $9,250 | $615 | H5599-002-0 | |
| Wellcare Fidelis Patriot Simple | $0 | $9,250 | N/A | H5599-010-0 | |
| Wellcare Fidelis Simple | $0 | $9,250 | $615 | H5599-004-0 |
What is the typical premium for HMO-POS plans in Seneca?
HMO-POS plans in Seneca cost $69.47 per month on average.
Which HMO-POS plan has the most members in Seneca?
The most popular HMO-POS plan in Seneca is Wellcare Fidelis Simple (HMO-POS), with 89 enrollees.
How many HMO-POS options are offered without prescription drug coverage in Seneca?
There are 3 HMO-POS plans in Seneca without prescription drug coverage.
Medicare Advantage PFFS Plans
PFFS, or Private Fee-for-Service plans, allow access to any Medicare-approved doctor or hospital that accepts the plan’s terms. They provide wide flexibility in choosing providers, but it’s essential to verify that your preferred healthcare professionals agree to the plan’s payment rules before scheduling care.
| Plan Name | Rating* | Premium | MOOP | Rx Ded. | Plan-ID |
|---|---|---|---|---|---|
| Wellcare Advantage Enhanced | $0 | $4,300 | N/A | H2816-037-0 | |
| Wellcare Advantage Simple | $0 | $6,700 | N/A | H2816-038-0 |
What is the total number of PFFS plans in Seneca?
In 2026, Seneca has 2 PFFS plans with 0 enrollees.
How much do PFFS plans cost in Seneca?
The typical PFFS premium in Seneca is $0.00, and 2 plans have no monthly premium.
CMS quality ratings for Medicare Advantage plans in Seneca County, NY (2026) are summarized below.
| Rating Category | Number of Plans | Percent of Plans |
|---|---|---|
| 5 Stars | No 5-star plans available. | 0% |
| 4 Stars (includes 5 Stars) | 7 | 35% |
| 3 Stars | 13 | 65% |
| Below 3 Stars | 0 | 0% |
| Not Rated | 0 | 0% |
| Average Rating | 3.45 | |
* CMS assigns Medicare Advantage star ratings annually based on plan quality and performance measures.
- CMS.gov, Medicare Advantage & Special Needs Plan Landscape Source Files — Version: 202608
- CMS.gov, Medicare Part C & D Performance Data — Version: 2026
- CMS.gov, Medicare Advantage & Part D Contract and Enrollment Data — Version: 2026-08
All plan counts, enrollment totals, averages, and percentage distributions are calculated at the county level using CMS data and include standard Medicare Advantage (MA/MAPD) plans only, based on a consistent aggregation methodology.
Data sources and methodology documentation .
- Medicare.gov, "Understanding Medicare Advantage Plans" — Last accessed 25 May, 2025
- Medicare.gov, "Compare Original Medicare & Medicare Advantage" — Last accessed 25 May, 2025
- NCOA.org, "5 Steps to Choosing the Right Medicare Plan for You" — Last accessed 25 May, 2025
MedicarePlans.com is an independent, non-government informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard .
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.